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HomeMy WebLinkAbout525795 WILLOW VIEW LLC - INSURANCE CERTIFICATE (2)WILLVIE-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/03/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PFS Insurance Grou p PHONE 4848 Thompson Parkway Suite 200 (A/C, No, E:cp (970) 635-9400 i �ja , Nop(970) 635-9401 Johnstown, Co $0534 E-MAIL ADDRESS info@mypfsinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # �11SURERA- Auto Owners Insurance Group _ ,18988 INSURED I INSURERB: Willow View LLC[INSURERC. _ 243 N. College Ave INSURER D : Fort Collins, CO 80524 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE X OCCUR [ 74450130 04/01 /2017 04/01 /201$ DAMAGE TO RENTED _ 300,000 -_ _J PREMISES (Ea occ_urrence�_ MED EXP (Any onepersonl _ $ 10,000 $ 1,000,000 PERSONAL & ADV INJURY — 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO- �_ LOC L_ JECT I- PRODUCTS - COCOMP/OP AGG ---- $ 2,000,000 -HIRED AND NON O 1,000,000 OTHER. COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY A (Ea accident) $ - ANY AUTO BODILY INJURYPerperson $ OWNED (--I SCHEDULED AUTOS ONLY AUTOS i BODILY INJURY (Per accident_ -- HIRED NON -OWNED AUTOS ONLY _.; AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE _— $ EXCESS LIAB AGGREGATE _1CLAIMS-MADE DED RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE. ;ER- AND EMPLOYERS' LIABILITY Y / N ,_ _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT_ OFFICER/MEMBER EXCLUDED? �N/A (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A Property i I 74450130 04/01/2017 04/01/2018 Building 1,499,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required If required by written contract or written agreement, the Certificate Holder is named as Additional Insured in regards to Solar Panels. [41A:4112LK_11110 Fort Collins Utilities 700 Wood St Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD